term1 Definition1term2 Definition2term3 Definition3
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Severe pre-eclampsia
2. Antihypertensives ( Labetolal ; Hydrallazine)3. Corticosteroids (between 24 and 34 weeks )4. Delivery **
A. It is associated with widespread vascular endothelial dysfunction,
vasospasm, and end-organ damage.B. By definition, It occurs after 24 weeks gestationC. It is primarily a complication of first pregnancies.D. Its incidence is 5% of pregnancies.
severe pre-eclampsia?
* On 2 separate occasions greater than 6 hours apart whilst patient at rest.
2. Progression to eclampsia = seizures3. > 37 weeks gestation.4. Abnormal CTG5. Placental abruption6. deteriorating blood tests ( liver ; renal ; platelets )
A. Serial levels are used to monitor disease progressionB. Increased urate is the hallmark of pre-eclampsiaC. Elevated levels are from reduced glomerular excretion.D. Elevated levels are from increased production from ischaemic
tissue.
pre-eclampsia ?
A. Bilirubin can be raised from Haemolysis.C. Thrombocytopenia is associated with increased Maternal morbidity.
C. INR and APTT can be raised: a feature of DIC.D. ALT is usually raised before AST.
Pre-eclampsia = AST > ALT
A. Multigravida with a new partnerB. Primigravida C. Hydatidiform moleD. Smoking.
A. It can occur up to 28 days postpartum.B. It may occur directly following delivery.C. A weight gain, in the setting of generalised oedema, of > 2kg per week suggests pre-eclampsia.D. Proteinuria 2+ suggests severe pre-eclampsia.
Proteinuria:
1+ = moderate
2+ = severe
3+ = Imminent
A. Delivery is the only true cure.B. The main maternal morbidities are tissue ischaemia and seizures.C. Hydrallazine is a first line antihypertensive: 5-10 mg IV over 5- 10
minutes.D. Renal impairment is not a common feature.
- Oliguria- Creatinine rise
commonly associated with pre-eclampsia?
A. Haemolysis.B. ThrombophiliaC. DICD. Thrombocytopenia.
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